Access Community Health Network
Clinic/Center, Federally Qualified Health Center (FQHC) in Blue Island, IL. Organization (NPI-2).
NPI number1114005337
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1114005337
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Community Health Network
- Organization subpart
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Mar 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
13000 Maple AveBlue Island, IL 60406-2318
Phone 708-385-6100
Mailing address
600 W FultonSuite 200
Chicago, IL 60661-1262
Phone 312-526-2051
Authorized official
Donna Thompson
Ceo
3125262051
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